EFTA00138954.pdf

Bureau of Prisons Psychology Services Suicide Risk Assessment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Facilit : NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist Type of Housing: Other Psychological Observation Cell Accommodation: Single Cell FINDINGS This assessment and the resulting recommendations are based on the following sources of information: Clinical Interview, Medical Record Inmate Epstein was placed on chological observation when he returned from court yesterday evening 7/8/19 for precautionary reasons. He i a suicide watch at this time. Reason for Referral Inmate Epstein is being seen e risk assessment today for precautionary reasons. Inmate Epstein has various risk factors for suicidality at thi • ing a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court o ing yesterday which could have given him bad news regarding his legal situation. As such, this writer instruc &D staff s well as the Lieutenant's Office, to immediately notify the psychology department when he returned fro Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psycho terview him this morning to conduct a suicide risk assessment. Developmental History Inmate Epstein denied any history of being the victim . . . - .etrator of physical or sexual abuse. Educational History/Cognitive Impairment Inmate Epstein reported he obtained his high school diplom- d some graduate classes in the area of mathematics. Arrest History and Experience of Incarceration Inmate Epstein reported he has served time in Palm Beach County jail' apse charges (soliciting prostitution) in the past. He is now being charged with sex trafficking, on a federal level. Mental Health History CI Inmate Epstein denied any history of mental health treatment, either on an inpat tient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also d i acute mental health symptoms at this time. Self-Harm History Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever ging in any suicide attempts or self-injurious behavior in the past. Substance Abuse History Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Medical Concerns Inmate Epstein denied any significant medical problems, other than a history of high triglycerides. He reported feeling constipated at this time. Current Problem Inmate Epstein is currently on psychological observation due to his having multiple risk factors associated with suicidality. He denies any suicidality at this time and has no mental health or suicide history. He is being seen for a suicide risk assessment in an abundance of caution. Current Mental Status Level of Consciousness: Alert and Oriented Generated 07/09/2019 10:36 by SDNY 00017317 PhD/Chief Bureau of Prisons - NYM - Page 1 of 3 Page 274 EFTA00138954 Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M F ili : NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EP a neutral affect with appropri and volume. His thoughts irrelevant content. There not engage in any bizarre or ina explicitly denied recent and curre commitment to life and safety, agree' IN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited e. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, nized and coherent, with no loosening of associations or tangential, circumstantial, or ce of perceptual disturbance, delusional ideation, or a formal thought disorder. He did e behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN eation, planning, and intent. He was future-oriented and expressed a tact staff immediately should he experience suicidal ideation. This writer screened the inmate for a variety of suicide. The following STATIC risk factors were assessed t behaviors: High Profile Crime, Lack of family connect' Of the DYNAMIC risk factors assessed, none were foun validated factors commonly associated with risk for self-harm and and increase the inmate's risk for engaging in suicide related ender status RS nt. The following PROTECTIVE factors were assessed to be pres m y decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suici ention/plans, Future orientation, View of death as negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He PVr k factors for suicidality at this time including a high profile case with extensive media attention, sex offenseitr c rges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his leg i Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not hav cl tionship with. Despite these risk factors, inmate Epstein possesses a number of protective factors a Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requeste all, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writ r d said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is go g t sed from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "bei fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as mpetent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS* No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07/09/2019 10:36 by SDNV 00017318 PhD/Chief Bureau of Prisons - NYM — Page 2 of 3 Page 275 EFTA00138955 Inmate Name: EPSTEIN. JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Facilit : NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: PhD/Chief Psychologist RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Suicide Watch: A suicide watch is not warranted at this time Completed by PhD/Chief Psychologist on 07/09/2019 10:36 060 oto,6) oet Generated 07109/2019 10:36 by PhD/Chief Bureau of Prisons - NYM SDNY 00017319 — Page 3 of 3 Page 276 EFTA00138956 Bureau of Prisons Psychology Services General Administrative Note "SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Sex: M Facility: NYM Date: 07/08/2019 10:41 Provider: PhD/Chief Reg #: 76318-054 Unit Team: A&O Comments This writer consulted with Dr. , Central Office, regarding inmate Epstein. Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense charges, pre-trial status, and a court proceeding today which could potentially be giving him bad news regarding his legal situation. As such, when inmate Epstein returns from court, R&D staff as well as Lieutenant's have been informed to immediately notify the psychology department. If he returns after duty hours, the aforementioned staff were instructed to notify the on-call psychologist and to place inmate Epstein on a watch status until psychology can conduct a thorough suicide risk assessment. Completed by PhD/Chief Psychologist on 07/08/2019 10:49 Generated 07/08/2019 10:49 by PhD/Chief Bureau of Prisons - NYM SDNY_00017320 Fape 1 of 1 Page 277 EFTA00138957 Bureau of Prisons Psychology Services Risk of Sexual Abusiveness "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Sex: M Facility: NYM Date: 07/08/2019 09:35 Provider: PsyD/PhD Reg #: 76318-054 Unit Team: A&O Comments Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due to previous perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following objective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X ) Having a history of prior sexual abuse perpetration in the community (X ) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seen by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical contact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he understands the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were assessed and include: ( ) History of prior sexual victimization in prison ( X ) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Witnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other: Based on this clinical assessment, the inmate is considered to be at: (X ) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of sexual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations included sex offender treatment. Inmate Epstein declined programming recommendations.The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed in a cell with any inmates identified as at increased risk for sexual victimization. Psychology also recommends a greater level of supervision regarding his work and education assignments. Programming recommendations include XXXXX. Inmate =inmateLastName is agreeable to/ declined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in accordance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk of being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriateness for general population at this facility. This inmate should not be housed with any inmates judged to be at an increased risk for sexual victimization. Programming recommendations include XXXXX. Inmate =inmateLastName is agreeable to/ declined programming recommendations. Generated 07/08/2019 09:41 by PsyD/PhD Bureau of Prisons - NYM SDNY_00017321 Page 1 of 2 Page 278 EFTA00138958 Inmate Name: EP T JEFFREY EDWARD Date of Birth: Sex: M F ility: NYM Date: 07/08/2019 09:35 Provider: PsyD/PhD Reg #: 76318-054 Unit Team: A&O Completed by PsyD/PhD on 07/08/2019 09:41 Generated 07/08/2019 09:41 by PsyD/PhD Bureau of Prisons - NYM SDNY_00017322 Page 2 of 2 Page 279 EFTA00138959 Bureau of Prisons Psychology Services Intake Screening "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Facilit : NYM Unit Team: A&O Date: 07/08/2019 09:24 Provider: . PsyD/PhD Limits of Confidentiality Limits of confidentiality were reviewed with inmate EPSTEIN. He expressed an understanding of the limits of confidentiality and consented to be interviewed accordingly. Data Source(s) The following data sources were reviewed in conjunction with this Initial Intake Evaluation: Self-Report, SENTRY, Staff Observation. Inmate Epstein is a 66-year-old, Black male who was seen by Psychology Services due to newly arriving at MCC-NY. He denied a history of mental health treatment on his Psychology Services Intake Questionnaire. Mental Health History and Current Symptoms No history of mental health issues was noted. No history of prior mental health treatment was noted. No current mental health symptoms were noted. No suicidal ideation, attempts, or self-harm were noted. Substance Abuse No history of substance abuse was noted. No history of substance abuse treatment was noted. Sex Offenses No sexual offense convictions were noted. No history of sexual predation in a correctional setting was noted. Relevant Psychosocial History Noteworthy psychosocial issues: Other. Inmate Epstein is currently incarcerated for a Sex Trafficking. He stated he was previously incarcerated three months f or prostitution. Inmate Epstein stated he is single and does not have any children. He revealed he was living in New York. He stated he completed high school. He stated he was employed in banking work prior to his incarceration. Adjustment to Incarceration Adjustment to incarceration concerns were identified: Other. SEXUAL ABUSE HISTORY Inmate Epstein denied being the victim of physical or sexual abuse. He is currently charged with sex trafficking and has previously been charged with prostitution. He was informed of the programs offered by MCC-NY as well as the Bureau of Prisons. Additionally, he was informed of this institutions self-help program. Inmate Epstein reported he was not currently interested in any treatment programs. MENTAL STATUS: Inmate Epstein appeared calm, controlled, without signs of psychomotor agitation or retardation. He was fully cooperative, maintained good eye-contact, and related in an interpersonally appropriate manner with interviewer. Speech and thought processes were organized, coherent, logical, and goal-directed. Based on informal assessment during this interview, this inmate's cognitive functioning appeared within normal limits, as reflected by adequate long and short-term memory, good attention, and appropriate concentration during interview, as well as adequate receptive and expressive language skills. Inmate denied any current sleep disturbances and described his appetite as adequate. This inmate denied recent or present morbid thoughts, passive or active suicidal ideation, intent or plan and contracted for safety. This inmate's verbalizations were optimistic, future oriented, and without indications of helpless or hopeless thinking. Inmate Brown denied any familial history of suicide behaviors or attempts. This inmate was provided with supportive psychotherapy, and psycho-education to strengthen coping skills and facilitate adjustment to incarceration. Findings Care Level: CARE1-MH SDNY_00017323 Generated 07/08/2019 09:30 by PsyD/PhD Bureau of Prisons - NYM Page 1 of 2 Page 280 EFTA00138960 Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M F tli : NYM Unit Team: A&O Date: 07/08/201909:24 Provider: PsyD/PhD Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current mental health symptoms. He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Care Code 1. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Recommendations The following psychological services are recommended: Other. Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He does not appear to be in distress at this time. He agreed to contact psychology if he feels he needs psychology services in the future. He meets criteria for CC1 and does not require scheduled follow up at this time. Completed by PsyD/PhD on 07/08/2019 09:30 Generated 07/08/2019 09:30 by PsyD/PhD Bureau of Prisons - NYM SDNY_00017324 Page 2 of 2 Page Vat EFTA00138961 Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 - *Sensitive But Unclassified*** Name EPSTEIN, JEFFREY Reg # 76318-054 DOB Sex M Facility MCC New York Collected 07/09/2019 13:34 Order Unit E06-547U Received 07/10/2019 10:44 Provider MD Reported 07/10/2019 14:46 LIS ID 188191004 CHEMISTRY Sodium Potassium Chloride CO2 BUN Creatinine eGFR (IDMS) 137 4.7 99 27 17 1.05 >60 137-148 3.5.5.0 99.114 22-30 7-22 0.66.1.25 mmol/L mmol/L mmol/L mmol/L mg/dL mg/dL GFR units measured as mUmin/1.73 m^2. If African American multiply by 1.210. A calculated GFR <60 suggests chronic kidney disease if found over a 3 month period. Calcium 9.8 8.5-10.9 mg/dL Glucose 102 70-110 mg/dL AST H 57 11.55 U/L ALT 62 11-66 U/L Alkaline Phosphatase 64 41.133 U/L Bilirubin, Total 1.1 0.2.1.3 mg/dL Total Protein 7.3 6.0-8.2 g/dL Albumin 4.4 3.6.5.1 g/dL Globulin 2.9 2.0.3.7 g/dL Alb/Glob Ratio 1.50 1.00-2.30 Anion Gap 10.2 9.0.19.0 BUN/Creat Ratio 16.1 5.0.30.0 Cholesterol H 216 <200 mg/dL Triglycerides H 413 10-150 mg/dL Calculation of LDL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore the LDL is not calculated. HDL Cholesterol L 31 40.60 mg/dL Chol/HDL Ratio H 6.9 0.0.4.0 HEMATOLOGY WBC 7.6 4.3-11.1 K/uL NRBC% 0.0 c/O RBC 5.42 4.46-5.78 M/uL Hemoglobin 15.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5-96.5 fL MCH 28.8 27.1-34.9 Pg MCHC L 32.6 33.0-37.0 g/dL ROW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1 of 3 SDNV_00017325 Page 282 EFTA00138962 Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 - *Sensitive But Unclassified *** Name EPSTEIN, JEFFREY Reg # 76318-054 DOB Sex M Facility MCC New York Collected 07/09/2019 13:34 Order Unit E06-547U Received 07/10/2019 10:44 Provider MD Reported 07/10/2019 14:46 LIS ID 188191004 HEMATOLOGY MPV Neutrophils °A) Therapeutic decision making should be based on absolute values, rather than percentages Lymphocytes % Monocytes Eosinophils % Basophils Immature Granulocytes % Neutrophils # Lymphocytes # Monocytes # Eosinophils # Basophils # Immature Granulocytes # 10.4 58.7 25.0 11.1 4.1 0.8 0.3 4.4 1.9 0.8 0.3 0.1 0.02 6.9-10.5 0.0-5.0 1.9.6.7 1.3.3.7 0.3-1.1 0.0.0.5 0.0.0.1 0.00-0.50 fL K/uL K/uL K/uL K/uL K/uL 10A3/uL HEMOGLOBIN Al C Hemoglobin A I C 5.7 - 6.4 Increased Risk > 6.4 Diabetes H 6.3 <5.7 SEROLOGY RPR Non-Reactive Results may be affected in patients with severely advanced immunosuppression. Non-Reactive FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 2 of 3 SDNV_00017326 Page 283 EFTA00138963 Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 - *Sensitive But Unclassified — Name EPSTEIN, JEFFREY Reg # 76318-054 DOB Sex M Facility MCC New York Order Unit E06-547U Provider MD Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 HIV HIV 1/2 Negative Screening test • See confirmatory testing for Reactive results Negative FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 3 of 3 SDNY_00017327 Page 284 EFTA00138964 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Race: WHITE Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: NYM Cosigned by MD on 07/14/2019 18:12. Bureau of Prisons - NYM SDNY_00017328 Page 285 EFTA00138965 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24.2019 Date I, JEFFREY EPSTEIN 76318-054 refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. MD 7-24-2019 Counseled by Date Signature of VVitneis Date f/r<ci IN Patient's Sign Date NYM-NEW YORK MCC SDNY_00017329 Page 204 EFTA00138966 BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE ; A&O DENTAL. EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS Head & Neck ! Soft Tissue: I 1 2 3 4 5 8 7 8 9 10 11 12 13 14 15 113 cc — 32 31 30 29 28 27 28 26 24 23 22 21 20 19 • 18 17 (51\ #11 Occlusion: 2- D. F: /9 Classification: Dental Prostheses at Intake: Yes No Type: Age: Condition: Coma/ rn it 62 2-4."—k 4O SS / -e- C Ots elfl )3 pica on 012 Strut • -N. -Sell or Ceen.g...inc O.199-filled Intra-oral Photos Taken: Radiographs Taken: (Document findings on MO encounter) Yes Yes 0 9 Instructed how to obtain urgent and non-urgent dental care: Yes: i No: Treatment Priorities: None: Non-urgent Urgent Referred to Sick Call: non-urgent Radiographs authorized: Prophylaxis authorized: Yes i No PM: (Approval valid 18 months from examination date) BWs: Panorex: Prafient Name: Dentist Si nature: .... S ni ""3"--e_c lcity E I>DS 44' s r Number. r Institution: / Date: Signature Block/Stamp: 7 ‘31iczt 0cm MCC NEW YORK 7- 04 -19. aDS. PDF Prescribed by P6400 let Uental Umcer MCC New York Replaces BP-A0618 of JUN 10 S0N1100017330 Page 287 EFTA00138967 BP-5358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. MD 7-24-2019 Counseled by Date NYM-NEW YORK MCC SDNY_00017331 Page 2i34 EFTA00138968 BP-5358.060 SEP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 Date I JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. The following treatment(s) was/were recommended: CHEST X-M Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: WORSENING THE CONDITION IF THERE IS ANY FINDINGS I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. Counseled by X 7-10-2019 Date Patien Signature - /Of Signature of Witness Date NYM-NEW YORK MCC Date SDNY_000i 7332 Page 289 EFTA00138969 Medical Records request for Inmate Jeffrey Epstein, Reg. No. 76318-054 07/01/19 - 07/24/19 From To Date 2019/07/24 10:38 Subject: Medical Records request for Inmate Jeffrey Epstein, Reg. No. 76318- 054 07/01/19 - 07/24/19 Attachments: TEXT.htm, PrintChartGetRcport.faces.pdf Please see attached. Thank You!! Legal Assistant CLC New York Metropolitan Correctional Center 150 Park Row New York, NY 10007 (P) (F) SON\100017333 Page 16115 Page 290 EFTA00138970 Bureau of Prisons Health Services Clinical Encounter Inmate Name: _ i. EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: MLP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: MLP Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): "I do not know. Just went to drink a little water and wake up snorting". Symptoms (as reported by inmate): None OBJECTIVE: Temperature: Date Time Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral MLP Pulse: Data Time Rate Per Minute Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular . MLP Respirations: Data Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 MLP Blood Pressure: Date Ikea Value Location Position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular MLP SaO2: Date Time Value(%) Air Provider 07/23/2019 06:30 NYM 96 Room Air MLP Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Generated 07/23/2019 09:05 by MLP Bureau of Prisons - NYM SDNY_0001:701 of 2 Page 291 EFTA00138971 Inmate Name: EP TEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M R WHITE Encounter Date: 07/23/2019 06:20 : Provider: . MLP Facility: NYM Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: "I don't know". He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in diameter(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified, T1490 - Current - RIO self inflicted injuries. PLAN: Disposition: Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 2-4 Hours Other: For follow up with psychology service. Patient Education Topics: Date Initiated Format Nandout/Toolc lin. Outcome 07/23/2019 Counseling Access to Care Verbalizes Understanding 07/23/2019 Counseling Plan of Care Verbalizes Understanding Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Completed by . MLP on 07/23/2019 09:05 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Generated 07123 201909.05 by MLP Bureau of Prisons - NYM SDNY_0001. ag 7335 re 2 of 2 Page 292 EFTA00138972 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Race: WHITE Encounter Date: 07/23/2019 06:20 Provider: MLP Facility: NYM Cosigned by MD on 07/23/2019 15:44. Bureau of Prisons - NYM SONY_00017336 Page 293 EFTA00138973 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Race: WHITE Facility: NYM Encounter Date: 07/14/2019 17:36 Provider: MD Unit: Z0S Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OLD WHITE MALE WITH HX OF HYPERTRIGLYCERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , NOW 431. STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS DUE TO THEIR GI SIDE EFFECTS. HX OF OBSTRUCTUVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. STATES HE HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE FBI LOKELY HAS L4 - L5 SEVERE STENOSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: NONE Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid Added to clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely III Nutrition No: Appears Obese rage Generated 07/14/2019 18:11 by MD Bureau of Prisons - NYM SDNY_0001-73.37 1 Of 3 Page 294 EFTA00138974 Inmate Name: EP TEIN JEFFREY EDWARD Date of Birth: Sex: M Race: WHITE Encounter Date: 07/14/2019 17:36 Provider: MD Reg #: 76318-054 Facility: NYM Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal SI and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: JIM Medication Omega 3 ( Vascepa) 1 GM Capsule Order Date 07/14/2019 17:36 Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequency Lab Tests-H-Hemoglobin A1C One Time Lab Tests-L-Lipid Profile Additional Information: Generated 07/1412019 18:11 by MD Bureau of Prisons - NYM Prescriber Order TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD. Due Date Priority 10/10/2019 00:00 Routine SDNY_00011 2 of 3 Page 295 EFTA00138975 Inmate Name: EP TEIN JEFFREY EDWARD Date of Birth: Sex: M Race: WHITE Encounter Date: 07/14/2019 17:36 Provider: MD Reg #: 76318-054 Facility: NYM Unit: 205 FASTING. Lab Tests-H-Hep B surface Ab Lab Tests-H-Hep B surface Ag Lab Tests-H-Hep C Ab Lab Tests-H-Hepatic Profile Schedule: One Time Activity Date Scheduled Clinical Encounter 07/24/2019 00:00 66 YR OLD MALE FOR ROUTINE SCREENING. Chronic Care Visit 01/07/2020 00:00 6 MONTH F/U. Chronic Care Visit 07/01/2020 00:00 Other: PENDING EKG AND FOBT. CXR WAS REFUSED. Patient Education Topics: Date Initiated Format 07/14/2019 Counseling Copay Required:No Telephone/Verbal Order: No Completed by Handout/Topic Diagnosis Cosign Required: No MD on 07/14/2019 18:11 Generated 07/14/2019 18:11 by MD Bureau of Prisons - NYM 08/08/2019 00:00 Routine Scheduled Provider Optometrist Mid-Level Provider Physician 01 Provider Outcome Verbalizes Understanding SDNY_0001:70 3 of 3 Page 296 EFTA00138976 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: MD Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: ENDO/LIPID Subjective: 66 YR O HITE MALE WITH HX OF HYPER CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MED • EIR GI SIDE EFFECTS. HX OF 1L UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE iSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: MD Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely III Nutrition No: Appears Obese Generated 07/12/2019 14:20 by MD Bureau of Prisons - NYM SDNY_0001/421 of 3 Page 297 EFTA00138977 Re: I/M Epstein #76318-054 From Elissa Miller To Date 2019/07/24 07:36 Subject: Re: UM Epstein #76318-054 Attachments: TEXT.htm yes Psy.D. Chief Psychologist U.S. Department of Justice/ Federal Bureau of Prisons Metropolitan Correctional Center 150 Park Row New York, New York 10007 Office: Fax: E-mail: > > > 7/23/201910:17 PM >>> The purpose of this email is to inquire as to whether or not inmate Epstein, Jeffrey #76318-054 is mentally capable of proceeding with the disciplinary process. Thanks in advance. SDNY_00017341 Page 16416 Page 298 EFTA00138978 Excuse the crude headline...not mine! wrote: httpsi/www.vice.com/erus/article/zrtuvb4/jeffrey-epsteins-death-is-exposing-the-clusterfuck-inside- trumps-prisons > » 'Mr (OPA)" Thanks - , can you send me the story? Original Message----- Subject: Re: Staffing in media (ODAG) August 14, 2019 4:51 PM > 8/14/2019 4:52 PM > » Copying > On Aug 14, 2019, at 4:34 PM, >., I saw a story today claiming that BOP lost 12% of our workforce since Trump Administration started which is double the drop in the prison pop. This is highly misleading. As you know (and AG Sessions and DAG Rosenstein were also acutely aware of), over the 5 years leading into this administration our prison population had dropped 40,000 inmates, but our staffing had gone up (and pop has continued to drop another almost 9,000 since the start of the Administration)! The drop in staffing that they are referring to also likely includes the 5156 unfunded vacant positions that were eliminated...positions we never could fill in the first place. > We do not need more staff, we just need to fill the vacancies we have. I continue to point out to anyone that will listen (and have reiterated this in several Hill briefings), the problem is not our authorized staffing levels or funding, rather it is finding good candidates to come work for us in hard to fill areas. I have dozens of examples where we post jobs, get 30 applicants and only 10 end up actually coming on board. At that rate it will take a long time just to fill the vacancies we have. We are working on several new initiatives to try and make BOP more attractive to applicants (unfortunately news like this does not help). > Anyway, I know you know this, but also want you to know that we are working to change this narrative, but right now we are getting drowned out by the media hysteria. Thanks. SDNY_00017342 Page 16520 Page 299 EFTA00138979 Yes. Hopefully we can discuss this and a few other brewing issues. Thanks! Sent from my Verizon, Samsung Galaxy smartphone Original message From: Date: 10/17/19 1:46 PM (GMT-05:00) To: Cc: Subject: Re: Inmate Suicide Prevention Memo > » ' 10/17/201913:46 > » Ok, this is going to be sensitive. Cant say I'm surprised people want to be cautious. I will want to hear about specific examples of significant problems. Why sending to RDs and not to all CEOs? All CEO memo will need Exec staff and union clearance first, but it will ensure the message gets out. We can discuss tomorrow. Sent from my Verizon, Samsung Galaxy smartphone Original message From: Date: 10/17/19 10:40 AM (GMT-08:00) To: Cc: Subject: Inmate Suicide Prevention Memo > » 'M Kugler" 10/17/2019 13:40 > » Wanted to give you the heads up, there is an Inmate Suicide Prevention Pro ram Memo in your mailbox that you will probably want to review tomorrow. I discussed it with and today. Basically following inmate Epstein's suicide, Wardens are defaulting to leaving inmates on suicide watch longer than the institutional Psychologists would advise. So the memo to the RDs seeks to remind Wardens to utilize the professional psychological expertise of the institutional psychologists in managing inmate suicide through the variety of healing strategies. is in the office tomorrow, 10/18, if you want to discuss with her the bests/a to communicate this to the RD and Wardens and if you have any questions. Have a great day. Peace- SDNY_00017343 Page 16525 Page 300 EFTA00138980 RE: MCC Visit Thursday From (USANYS)" To Date 2019/08/14 12:18 Subject: RE: MCC Visit Thursday Attachments: TEXT.htm, Mime.822 Two additional people from Dal will join the visit: In addition, has asked that the new acting warden join the tour. Let me know if you have any questions, thanks. From: <a 10joh nson@ bop.gov> Sent: Tuesday, August 13, 2019 4:03 PM To: >; Cc: (USANYS) Subject: RE: MCC Visit Thursday (USANYS) If it is not too much of an imposition, we ask that all visitors come to our front lobby for screening before admission. Thanks! >» I (USANYS)" Yes, thank you. Where should we go? > From: Sent: Tuesday, August 13, 2019 3:38 PM To: <a 10joh n soriabop.gov> 8/13/2019 3:58 PM > » (USANYS) Cc: (USANYS) < Subject: Re: MCC Visit Thursday Hi a, It should not be a problem. Does 10 am work for Mr. Berman and the rest of his staff? Thank you, Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 1 crl Park Finvis SON\100017344 Page 16825 Page 301 EFTA00138981 New York, New York 10007 P: f: »> '1 (USANYS)" < > 8/13/2019 2:05 PM >>> The list of visitors from our office is below: Geoffrey Berman As discussed, we would like to see the 2nd floor pscyh observation and suicide watch area; the 9th floor SHU, and Epstein's cell, which we understand to still be cordoned off. As discussed, we would appreciate if only MCC legal would escort us, and we will not speak to any of the guards present given the ongoing investigations. Please give me a call with any questions, and let us know what time and where we should go, and if it would be easier for us to enter via the 3rd floor bridge. Thanks, Assistant United States Attorney Southern District of New York Tel: SDNY_00017345 Page 16826 Page 302 EFTA00138982 Re: MCC Visit Thursday From To Date 2019/08/15 08:54 Subject: Attachments: TEXT.htm Re: MCC Visit Thursday Sorry about the abrupt prior email. I was hoping to get the names so we could ensure we have enough vests for everyone. >>> ' (USANYS)" < > 8/14/2019 10:56 PM >>> I just found out that additional law enforcement agents will be joining but I don't know how many and who. I asked. I'm sorry! On Aug 14, 2019, at 12:49 PM, (USANYS) < > wrote: <!--[if mso 9)--> <!--[endif)--> Resending, I got an error last time. From: (USANYS) Sent: Wednesday, August 14, 2019 12:41 PM To: <a 10johnsonlboo.gov>; Cc: (USANYS) < Subject: RE: MCC Visit Thursday Geoffrey Berman — US Attorney <sscannellObop.gov> From: cal0johnsonObop.gov> Sent: Wednesday, August 14, 2019 12:26 PM To: >; (USANYS) Cc: (USANYS) <nuaas@usa.dolgay> Subject: RE: MCC Visit Thursday Hi Not a problem. I will add them to the list. Do you have everyone's titles? I will advise the Warden of the request that he accompany us on the tour. Thank you, Supervisory Staff Attorney CLC New York SON1100017346 Page 17203 Page 303 EFTA00138983 Re: Staffing From To Date 2019/08/12 21:49 Subject: Re: Staffing Attachments: TEXT.htm Yes...Gonna be trained as correctional workers fast all over... is checking but he's a materials handler and probably promoted up from CO...he's the on Sail from my Vcrixon. Sanbung Galaxy imarlphan: From: <kgriffith4hop.gov> Date: 8/12/19 9:45 PM (GMT-05:00) To: <Illlurwitz€2),bOp.gov> Subject: Re: Sta mg >» 08/12/2019 21:45 >» So CNN is reporting that one of the officers on Epstein's unit was not a "full fledged" correctional off-Ker....unbelievable Still from my Vertion. Sam.ung Galaxy murlphone -- Original message -- From: Date: 8/12/19 997 PM (GMT-05:00) To: <kgriffith4bop.gov> Subject: Re: Staffing >>>'-" 08/12/2019 21:07 >» I didn't read the press release. It's less about responding to CNN directly and more an opportunity to give DOJ some TPs to use to counter the narrative th have some TPs we can provide on that if we want. Either way, don't spend a ton of time on this, not sure they will use it. San from my Veil/on, Banning (ialaxy .norlplionc — Original messa ,e --- From: <kgriffith@Eop.gov> Date: 8/12/19 9:01 PM (GMT-05:00) To: Subject: Re: Staffing 08/12/2019 21:01 >>> Am i responding to the comments in the afge press release? I did not see his CNN interview...kiting know San from my Venion. Sansing Galaxy sznalphme Original message --- From: Date: 8/1 19 :45 PM (GMT-05:00 To: Cc: Subject: Stalling >>> 08/12/2019 20:45 >» DO) is pushing back on some statements CNN/Eric said re staff shortages. In the morning, can you come up with just a couple talking points the Sail from my \'c11/on. Salmons Garay muriplione SDNY_00017347 Page 17741 Page 304 EFTA00138984 Original message From: Date: 8/12/19 11:37 AM GMT-05:W To: Cc: Subject: Re: OT issues >»' " 0SE12/2019 II:38 >» see the below info from.. on staffing. Note the absence information below. This reflects one of the significant challenges in the NY area, simply Noel - She worked on 8/9 4pm-12am as her regular shill. She stayed and worked I2am-8am as OT. Prior to 8/9 she had not worked OT since 8/3. Thomas - His regular schedule is as a Warehouse Worker Foreman and this is a M-F 8-4 job. He worked OT on 7/30. 8/6. 817. 8/9. and 8/10. His OT is a >». Onnond 8/12/2019 9:29 AM >>> -Current Overall Staffing: 84.86% -Current Correctional Services Staffing 83.70% -Number of Vacant Officers: 19 -Number of officer positions currently being recruited (various stages): 41 - 4 Correctional Officers currently in new employee training (Introduction to Correctional Techniques - ICT) (started with 5, one resigned) - 2 additional Officers scheduled to start 9/15/19 - Since April 12. 2019. MCC New York has been approved for the following incentives: -10% Relocation Incentive -10% Recruitment Incentive - MCC New York has advertised on 97.1 FM. ran an add in the NY Times, and also ran an add in The Chief. - Held a career fair at 290 Broadway on July 30th with 174 potential applicants in attendance. Correctional Services Absence (8/3/19 to 8/10/19): Date Sick Leave 8/3/19 9 2 I 8/4/198 I 0 LWOP 0 0 2 0 0 I AWOL Suspension Official Time COP Military or FFLA Total 3 17 I 11 815119 5 3 II I 2 3 0 25 8/6/19 5 3 II 1 4 4 2 30 8/7/19 6 3 II 1 3 3 2 29 8/8/19 5 3 II I 1 3 2 26 8/9/19 9 2 II I 1 4 028 8110/19 9 0 0 0 0 2 0 II Total: Accounts for Ill Correctional Services post on 8 days not filled by staff due to the above reasons. LWOP: Leave Without Pay (authorized) AWOL: Absent Without Leave (unauthorized) Official Time: Union Activities COP: Continuation of Pay (Worker's Compensation Case) FFLA: Family Leave >>> (OAO)" 8/222019 10:34 AM >» Per our discussion., it would be helpful to get a short description of the staffing issues at the MCC. including (I) the OT for the staff in question and(?) O. Thanks, U SDNY_00017348 Page 17742 Page 305 EFTA00138985 Re: Staffing From To Date 2019/08112 21:45 Subject: Re: Staffing Attachments: TEXT.htm So CNN is reporting that one of the officers on Epstein's unit was not a "full fledged" correctional officer. unbelievable Skill from my Wilton. Sunray Galaxy smaripham: Original message From: Date: 12/19 9:07 PM (GMT-05:00) To: <legriffithesbop.gov> Subject: Re: Staffing >>> IMM" 08/12/2019 21:07 >» I didn't read the press release. It's less about responding to CNN directly and more an opportunity to give DO1 some TPs to use to counter the narrative th have some TPs we can provide on that if we want. Either way. don't spend a ton of time on this, not sure they will use it. Soil from niy Verizon. Sarmung Galaxy urn:Whom From: <kgriffithgboogov> Date: 8/12/19 9:01 PM (GMT-05:00) To: Subject: Re: Staffing >» 08/12/2019 21:01 >>> Am i responding to the comments in the afgc press release? I did not sec his CNN interview....lemme know Sol from my Venzon. Slummy Galaxy ,rruriphone Original message --- From: Date: 8/12/19 8:45 PM (GMT-05:00) To: <k 'ffi ribop.gov>. Cc: Subject: Staffing >>> 08/12/2019 20:45 >» DO1 is pushing back on sonic statements CNN/Eric said rc staff shortages. In the morning, can you come up with just a couple talking points tha 0 Sem iiO111 my Vernon. Sarromy Galaxy snuriplione Original message ------ From: Date: 8/12/19 11:37 AM GMT-05:00 To: Cc: Subject: Re: OT issues >>> a 08/12/2019 11:38>>> see the below info from. on staffing. Note the absence information below. This reflects one of the significant challenges in the NY area, simply Noel - She worked on 11/9 4pm-I 2am as her regular shift. She stayed and worked I tam-tam as OT. Prior to 8/9 she had not worked OT since 8/3. Thomas - His regular schedule is as a Warehouse Worker Foreman and this is a M-F 8-4 job. He worked OT on 7/30, 8/6, 81,73iir bachicif/314% His OT is a - Page 17745 Page 306 EFTA00138986 >» ■ Ormond 8/12/2019 9:29 AM >» -Current Overall Staffing 84.86% -Current Correctional Services Staffing 83.70% -Number of Vacant Officers: 19 -Number of officer positions currently being recruited (various stages): 41 - 4 Correctional Officers currently in new employee training (Introduction to Correctional Techniques - 1CT) (started with 5. one resigned) - 2 additional Officers scheduled to mart 9/15/19 - Since April 12, 2019, MCC New York has been approved for the following incentives: -10% Relocation Incentive -10% Recruitment Incentive - MCC New York has advertised on 97.1 FM, ran an add in the NY Times, and also ran an add in The Chief. - Held a career fair at 290 Broadway on July 30th with 174 potential applicants in attendance. Correctional Services Absence (8/3/19 to 8/10/19): Date Sick Leave LWOP AWOL Suspension Official Time COP Military or FFLA Total 8/3/19 9 8/4/19 8 2 I 1 0 0 0 0 2 0 I 3 17 I II 8/5/19 5 3 II I 23 0 25 8/6/19 5 3 II I 4 4 2 30 8/7119 6 3 II I 3 3 2 29 8/8/19 5 3 II I I 3 2 26 8/9119 9 2 II I 1 4 0 28 8110/19 9 0 0 0 0 2 0 II Total: Accounts for 177 Correctional Services post on 8 days not filled by staff due to the above reasons. LWOP: Leave Without Pay (authorized) AWOL: Absent Without Leave (unauthorized) Official Time: Union Activities COP: Continuation of Pay (Worker's Compensation Case) FFLA: Family Leave >>> (CIAO" 8/12/2019 10:34 AM >» Per our discussion, it would be helpful to get a short description of the staffing issues at the MCC. including (I) the OT for the staff in question and (2)O' Thanks, ■ SDNY_000173.50 Page 17746 Page 307 EFTA00138987